I/We hereby declare that I am/we are in good health and am/are aware of and agree to abide by the Policy's Terms, Conditions and Exclusions. I/ We also understand that the issuance of the policy is based on all statements and answers set out in this Application Form which are complete and true. I am/ We are aware that I/we can seek advice from a qualified advisor before I/we purchase this insurance. Should I/we choose not to, I/we take sole responsibility to ensure that this product is appropriate to my/ our financial needs and insurance objectives.
I/We acknowledge and agree that UOI may collect, use, disclose, transfer my/our personal data for the Purposes stated in UOI's Privacy Notice which can be found at www.uoi.com.sg.
I/We further acknowledge by providing personal data relating to a third party (eg. Information of my dependent, spouse, children, parents and/or employees), I/we represent and warrant that the consent of that third party has been obtained for the collection, use and disclosure of the personal data for the Purposes stated in UOI's Privacy Notice.
I/We am/are aware that UOI may disclose personal data collected to its third party service providers or agents (including lawyers/ law firms), which may be sited outside of Singapore, for one or more of the above Purposes, as such third party service providers or agents, if engaged by UOI, would be processing the personal data for UOI for one or more of the above Purposes. This may include disclosure to industry association.